| NPI | 1003802463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C53263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C53263) |
| 207R00000X Internal Medicine (Licence: NM 2002-0386) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2024-07-31 |